As a PEM physician I must worry (and therefore rule out and treat) the true emergencies first. That is why I first check for what is emergent and what I can fix. Since my patient population varies greatly with regards to age I find it very important to know the epidemiology, in other words, what is the most common cause of X based on the patient’s age.

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Research is one of the most intimidating aspects of medicine for us clinicians. Why is that ? and where is a good place to start? I discuss these topics and much more with Dr. Bob Hickey from the Children’s Hospital of Pittsburgh 

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What is the best way to view mistakes and how to reap some benefits from them. How I go about “working up” smiling children and what to do first with that IV access.

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My Nephrology professor in Medical school used to say that “The kidney is an easy organ to master, but you truly need to understand it”. My friend Craig Woda (an astute Pediatric Nephrologist) helps me better understand how we can do a better job identify nephrological issues in children.

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Hope you like the news I have to share and check out the link below. 

Jaron Smith is a PEM Fellow in Dallas Texas who applied the PEM Rules and wanted to share his story. Thank you Jaron for sharing your thoughts and thank you for your music request. 

What are the red flags for cardiological presentations and how can we better identify children with cardiological issues in the Pediatric Emergency Department. I discuss that and more with my good friend and colleague, Dr. Kelvin Lee.

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Some words of wisdom I learned from Dr. Bob Hickey, one of my favorite Attendings in fellowship. A clinician and avid researcher. 

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Not particularly based on any evidence-base study I am aware of, but this is how I approach the Ill-appearing (previously well) newborn / baby in the Pediatric Emergency Department

Check out the following video I created to help you remember the EKG changes of hyperkalemia 

https://pemrules.com/hk/

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What makes a good PEM physician? (from a PICU standpoint) and how can we all work better together to benefit our patients? My former co resident, and now PICU attending Suzie Barry and I break it down.

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